2021-11-11T12:57:29-06:00 2020-12-31 990 2020-01-01 900659735 PACE SOUTHEAST MICHIGAN F/K/A CENTER FOR SENIOR INDEPENDENCE PACE 2485569132 21700 NORTHWESTERN HWY STE 900 SOUTHFIELD MI 48075 MARY KUMMER NABER PRESIDENT/CEO 2485569132 2021-11-11 MARY KUMMER NABER 999009999 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BRIAN W CARNAGHI 24463 W TEN MILE ROAD SOUTHFIELD MI 48033 113236478 0 X WWW.PACESEMI.ORG X 2011 MI PACE SOUTHEAST MICHIGAN (PACE) IS AN ALTERNATIVE TO NURSING HOME CARE FOR THE FRAIL AND ELDERLY. THE GOAL IS TO HELP INDIVIDUALS REMAIN INDEPENDENT IN THEIR OWN HOMES AND COMMUNITIES AND TO PROVIDE RESPITE AND ASSISTANCE TO FAMILY CAREGIVERS. PACE IS A PROGRAM WHICH PROVIDES COMPREHENSIVE MEDICAL AND SUPPORTIVE SERVICES. THE INTERDISCIPLINARY TEAM AT PACE ASSESSES POTENTIAL PARTICIPANTS AND DEVELOPS A PERSON-CENTERED CARE PLAN - CUSTOMIZING SERVICES TO MEET INDIVIDUALS' NEEDS. FREQUENT CONTACTS WITH PARTICIPANTS AND REGULAR REVIEWS OF THE CARE PLAN ENSURE THAT PARTICIPANTS' NEEDS ARE BEING MET. PACE SEEKS TO FORM A PARTNERSHIP WITH THE PARTICIPANT AND CAREGIVERS TO PROMOTE INDEPENDENCE AND QUALITY OF LIFE. 9 8 693 2 0 0 701525 1181916 84092971 111764342 74632 9471 6743 159387 84875871 113115116 0 0 0 0 27570894 34697175 0 0 0 56570780 71400249 84141674 106097424 734197 7017692 21353311 30503880 8005619 11088135 13347692 19415745 X PACE SOUTHEAST MICHIGAN PROVIDES AN ALTERNATIVE TO NURSING HOME CARE FOR FRAIL, ELDERLY PEOPLE. BY BRINGING TOGETHER ALL THE CARE NEEDED, PARTICIPANTS ARE ABLE TO REMAIN INDEPENDENT IN THEIR OWN HOMES AND COMMUNITIES. PATIENTS AND THEIR CAREGIVERS ALSO ARE PROVIDED RESPITE CARE. THE COMPREHENSIVE CARE, BOTH MEDICAL AND SOCIAL ARE PROVIDED AT THE CENTER AND THE ELDER'S HOME, AS WELL AS IN THE HOSPITAL OR NURSING HOME, WHEN NECESSARY. 0 0 93633422 111908368 PROVIDE COMPREHENSIVE CARE TO THE FRAIL ELDERLY POPULATION UNDER PACE (THE PROGRAM FOR ALL INCLUSIVE CARE). PROVIDE EDUCATION TO THE COMMUNITY ON CARE FOR THE FRAIL ELDERLY POPULATION. 93633422 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 544 0 1 693 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JEFF BURMEISTER 2485569132 21700 NORTHWESTERN HWY STE 900 SOUTHFIELD MI 48075 MARY KUMMER NABER PRESIDENT/TRUSTEE 40.00 0.00 X X 297408 0 26121 BRIAN W CARNAGHI TREASURER/TRUSTEE 1.00 0.00 X X 0 0 0 SUSAN S HAWKINS TRUSTEE 1.00 0.00 X 0 0 0 STEVEN G DOLUNT TRUSTEE 1.00 0.00 X 0 0 0 ROGER L MYERS TRUSTEE- CHAIR 1.00 0.00 X X 0 0 0 DAVID F SHEPHERD TRUSTEE- VICE CHAIR 1.00 0.00 X X 0 0 0 KATRINA R SUMMERSETT RN TRUSTEE 1.00 0.00 X 0 0 0 MANU K MALHOTRA MD TRUSTEE 1.00 0.00 X 0 0 0 BRENDA L LAWRENCE TRUSTEE 1.00 0.00 X 0 0 0 MARJORIE A STATEN JD ASSISTANT SECRETARY 1.00 0.00 X 0 0 0 MICHELLE JOHNSON TIDJANI ESQ SECRETARY 1.00 0.00 X 0 0 0 JEFFREY G BURMEISTER C.F.O 40.00 0.00 X 218628 0 26757 RENDA DAWUD PHYSICIAN IN CHARGE 40.00 0.00 X 201180 0 31981 NICHOLAS JOSEPH MD MEDICAL DIRECTOR 40.00 0.00 X 175651 0 20393 RUDOLPH E MENCHL MEDICAL DIRECTOR 40.00 0.00 X 215695 0 23130 MARTHA MILLER CLINICAL PHARMACIST 40.00 0.00 X 138819 0 13141 OREST J SOWIRKA PHYSICIAN IN CHARGE 40.00 0.00 X 196026 0 31757 1443407 0 173280 22 0 1 0 HENRY FORD HEALTH SYSTEM PO BOX 670884 DETROIT MI 48267 MEDICAL SERVICES 26932223 HEALTH ALLIANCE PLAN PO BOX 55000 DEPT 271101 DETROIT MI 48225 HEALTH INSURANCE SERVICES 4116808 ENTERPRISE FM TRUST PO BOX 800089 KANSAS CITY MO 64180 VEHICLE LEASES AND MAINTENANCE 1653280 MEDILODGE OF SHORELINE 14900 SHORELINE DR STERLING HEIGHTS MI 48313 ASSISTED LIVING SERVICES 1636262 TABULARASA 228 STRAWBRIDGE DRIVE SUITE 100 MORRESTOWN NJ 08057 CONTRACTED SERVICES AND SOFTWARE 1393381 64 1181916 1181916 PROGRAM SERVICE FEES 623000 111764342 111764342 111764342 24832 24832 106001 121362 -15361 -15361 -15361 MISCELLANEOUS INCOME 900099 159387 159387 159387 113115116 111908368 0 24832 X 27951647 23860488 4091159 806257 680861 125396 3784387 3195804 588583 2154884 1819737 335147 165297 165297 47625 47625 46704386 45321060 1383326 7737 7555 182 6015319 3326059 2689260 621211 25093 596118 566689 6281 560408 323763 310418 13345 66137 30255 35882 919733 402250 517483 949736 638629 311107 PHARMACEUTICAL SUPPLIES 13060353 13060353 REPAIRS AND MAINTENANCE 592489 166196 426293 MEDICAL SUPPLIES 504863 493002 11861 BAD DEBT 279452 279452 575459 289381 286078 106097424 93633422 12464002 0 9507507 17919287 2071879 2020906 576757 838615 11033890 3827545 6147168 7206345 1087253 1076038 1962747 1442689 21353311 30503880 1484332 1454336 6521287 9633799 8005619 11088135 X 12337554 19355246 1010138 60499 13347692 19415745 21353311 30503880 X 7017692 -949639 X 0 1 X 0 0 X 72899 144098 140399 701525 1181916 2240837 36200650 49192743 62961529 84086228 111923729 344364879 36273549 49336841 63101928 84787753 113105645 346605716 0 0 0 346605716 36273549 49336841 63101928 84787753 113105645 346605716 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4647891 885517 3762374 6272999 2942028 3330971 113000 113000 7206345 ACCRUED COMPENSATION AND RELATED LIABILITIES 1869057 ACCRUED EXPENSES 7764742 9633799 114460050 1344934 1344934 113115116 0 113115116 107442358 1344934 1344934 106097424 0 106097424 PART XI, LINE 2D - OTHER ADJUSTMENTS: SUPPLY REBATES RECLASSIFIED TO EXPENSE 1,344,934. PART XII, LINE 2D - OTHER ADJUSTMENTS: SUPPLY REBATES RECORDED AS EXPENSE ON 990 AS REVENUE ON 1,344,934. AUDITED FINANCIAL STATEMENTS. 1 X X 0 0 0 0 0 0 0 0 0 MARY KUMMER NABER PRESIDENT/TRUSTEE 245999 0 36816 0 14593 0 0 0 26121 0 323529 0 0 0 JEFFREY G BURMEISTER C.F.O 195193 0 19512 0 3923 0 8119 0 18638 0 245385 0 0 0 RUDOLPH E MENCHL MEDICAL DIRECTOR 201782 0 8800 0 5113 0 1793 0 21337 0 238825 0 0 0 RENDA DAWUD PHYSICIAN IN CHARGE 190620 0 7722 0 2838 0 6168 0 25813 0 233161 0 0 0 OREST J SOWIRKA PHYSICIAN IN CHARGE 183650 0 2376 0 10000 0 7327 0 24430 0 227783 0 0 0 NICHOLAS JOSEPH MD MEDICAL DIRECTOR 151461 0 18462 0 5728 0 6394 0 13999 0 196044 0 0 0 MARTHA MILLER CLINICAL PHARMACIST 135926 0 175 0 2718 0 4318 0 8823 0 151960 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED ON A MEMBERSHIP BASIS. ITS MEMBERS ARE HENRY FORD HEALTH SYSTEM (HFHS) AND PRESBYTERIAN VILLAGES OF MICHIGAN (PVM). FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER (HFHS AND PVM) APPOINTS FIFTY PERCENT OF THE TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B BASED ON THE ESTABLISHED RESERVE POWERS, CERTAIN DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE TWO MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION IS AN AFFILIATE OF HENRY FORD HEALTH SYSTEM (HFHS). THE TAX DEPARTMENT OF HFHS PREPARES THE ORGANIZATION'S FORM 990. BEFORE THE FORM 990 IS FILED, A COPY FOR REVIEW WILL BE PROVIDED TO THE TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE POLICY OF THE ORGANIZATION TO PREVENT CONFLICTS OF INTEREST IN THE WORKPLACE. INDIVIDUALS SUBJECT TO THIS POLICY SHALL UPON HIRE AND ANNUALLY THEREAFTER, COMPLETE AND SIGN A COI DISCLOSURE STATEMENT AND NOTIFY COMPLIANCE OFFICER OF ANY CHANGES TO THE INFORMATION IN THE STATEMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD CHAIR AND VICE CHAIR OF THE ORGANIZATION ARE CHARGED WITH APPROVAL OF THE COMPENSATION AND BENEFIT PROGRAMS FOR THE CEO, CFO AND OTHER TOP MANAGEMENT OFFICIAL. THE PROCESS INCLUDES UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS AS WELL AS COMPARISONS TO COMPENSATION AS REPORTED BY OTHER HEALTHCARE ORGANIZATIONS. FOR OTHER EMPLOYEES, THE ORGANIZATION HAS AN INTERNAL COMPENSATION COMMITTEE CONSISTING OF THE CEO, CFO AND DIRECTOR OF HUMAN RESOURCES. THEY ARE CHARGED WITH APPROVAL OF THE COMPENSATION AND BENEFIT PROGRAMS. THE PROCESS INCLUDES EVALUATION OF THE INDIVIDUAL'S PERFORMANCE AND UTILIZATION OF COMPENSATION STUDIES OF SIMILARLY SITUATED POSITIONS. FORM 990, PART VI, SECTION C, LINE 18 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS TAX DOCUMENTS AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PRACTICE OF THE ORGANIZATION TO MAKE ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY AVAILABLE TO ANY PARTY REQUESTING SUCH INFORMATION. FORM 990, PART IX, LINE 11G CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 44,521,540. MANAGEMENT AND GENERAL EXPENSES 25,187. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,546,727. CONSULTANTS: PROGRAM SERVICE EXPENSES 799,520. MANAGEMENT AND GENERAL EXPENSES 1,358,139. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,157,659. FORM 990, PART XI, LINE 9: DECREASE IN RESTRICTED NET ASSETS -949,639.